SAMS CLUB FRESH BAKERY

SPECIAL CAKE ORDER FORM

Order must be made in person at your local Sams Club Order will not be placed online.
Additional flavors and varieties may be available. Please check with your local club.

1. SIZE (Choose 1)
10 ROUND CAKE
Serves 12-16

1/2 SHEET CAKE

Serves 36-48

FULL SHEET CAKE

Serves 72-96

CUPCAKES 30 COUNT

1/2 SHEET CAKE /

CUPCAKE COMBO
Serves 64-76

CUPCAKE CAKE
Serves 30

COOKIE CAKE
Serves 36-48

5 Cake/ 10 Cupcakes
Serves 14-16

(Not available for all items)

2a. CAKE FLAVOR (Choose 1)

White or

Chocolate (10 Round, Sheet and Full Sheet Available)

Marble (Available in Sheet and Full Sheet Only)

2b. CUPCAKE FLAVOR (Choose 1)

White

Chocolate

3. ICING (Choose Whipped Icing or But-R-Crme Icing)

WHIPPED ICING
White
Chocolate
Border Color:
Flower Color:
Balloon Color:
Color Choices: Red, Orange, Yellow, Green, Pink, Light Blue, Dark
Blue, Lavender, Green Mist, Pink Petal, Spring Yellow

White/Chocolate Mixed

BUTRCRME
White
Chocolate
Border Color:
Flower Color:
Balloon Color:
Color Choices: Asparagus Green, Holiday Green, Pink Thread, Hot
Pink, Light Blue, Royal Blue, Purple, Red, Neon Orange, Amaryllis
Yellow, Yellow, Bright Green, Coral, Teal

4. WRITING ON CAKE (Please print clearly)

5. DECORATION (Choose 1 from lists below)

Every Day Celebrations

Special Occasions

Enter design name from Cake Book

DESIGN NAME: _______________
_____________________________

Enter design name from Cake Book

DESIGN NAME: _______________
_____________________________

Edible Decorations

Characters
Batman
Cars McQueen & Mater
Disney Princess
Dora the Explorer
Frozen
Hello Kitty
Jurassic World
My Little Pony
Sesame Street

Seasonal
Fall Leaf Rings
Pumpkin and Leaves Pop Top

Spider Man

Enter design name from Cake Book

DESIGN NAME: _______________
_____________________________

6. MEMBER INFORMATION (Please print clearly)

Member Name:
Daytime Phone Number:
Evening Phone Number:

SpongeBob SquarePants
Super Mario
Teenage Mutant Ninja Turtles
Toy Story 3
Transformers

Pick Up Date:
Pick Up Time:

Order Taken By:

Order must be made in person at your local Sams Club Order will not be placed online.
Additional flavors and varieties may be available. Please check with your local club.

August 2015